Treatment:

If there are no symptoms or if symptoms are mild, you may only need to get an echocardiogram from time to time and be monitored by a health care provider.

If symptoms are severe, you may need to stay in the hospital. ACE inhibitor drugs and diuretics (water pills) may be prescribed. These medications may also be used in people with mild symptoms to prevent the symptoms from worsening. Moderate activity restriction may be recommended. People with severe symptoms should avoid strenuous activity.

Surgery to repair or replace the aortic valve corrects aortic insufficiency. The decision to have aortic valve replacement depends on your symptoms and condition and function of the heart.

Surgery to repair the aorta may be required if the condition is caused by disorders of the aorta.

Expectations (prognosis):

Aortic insufficiency is curable with surgical repair. This can completely relieve symptoms unless severe heart failure is present or other complications develop. Without treatment, patients with angina or congestive heart failure do poorly.

Complications:

• Left-sided heart failure
• Pulmonary edema
• Endocarditis

Calling your health care provider:

Call your health care provider if symptoms indicate aortic insufficiency may be present.

Call your health care provider if you have aortic insufficiency and symptoms worsen or new symptoms develop, especially chest pain, difficulty breathing or edema (swelling).